Alaska Dental Health Aide Program

Background. In 1999, An Oral Health Survey of American Indian and Alaska Native (AI/AN) Dental Patients found that 79% of 2- to 5-year-olds had a history of tooth decay. The Alaska Native Tribal Health Consortium in collaboration with Alaska’s Tribal Health Organizations (THO) developed a new and diverse dental workforce model to address AI/AN oral health disparities. Objectives. This paper describes the workforce model and some experience to date of the Dental Health Aide (DHA) Initiative that was introduced under the federally sanctioned Community Health Aide Program in Alaska. These new dental team members work with THO dentists and hygienists to provide education, prevention and basic restorative services in a culturally appropriate manner. Results. The DHA Initiative introduced 4 new dental provider types to Alaska: the Primary Dental Health Aide, the Expanded Function Dental Health Aide, the Dental Health Aide Hygienist and the Dental Health Aide Therapist. The scope of practice between the 4 different DHA providers varies vastly along with the required training and education requirements. DHAs are certified, not licensed, providers. Recertification occurs every 2 years and requires the completion of 24 hours of continuing education and continual competency evaluation. Conclusions. Dental Health Aides provide evidence-based prevention programs and dental care that improve access to oral health care and help address well-documented oral health disparities

Pervasive decline of subtropical aquatic insects over 20 years driven by water transparency, non-native fish and stoichiometric imbalance.

Insect abundance and diversity are declining worldwide. Although recent research found freshwater insect populations to be increasing in some regions, there is a critical lack of data from tropical and subtropical regions. Here, we examine a 20-year monitoring dataset of freshwater insects from a subtropical floodplain comprising a diverse suite of rivers, shallow lakes, channels and backwaters. We found a pervasive decline in abundance of all major insect orders (Odonata, Ephemeroptera, Trichoptera, Megaloptera, Coleoptera, Hemiptera and Diptera) and families, regardless of their functional role or body size. Similarly, Chironomidae species richness decreased over the same time period. The main drivers of this pervasive insect decline were increased concurrent invasions of non-native insectivorous fish, water transparency and changes to water stoichiometry (i.e. N : P ratios) over time. All these drivers represent human impacts caused by reservoir construction. This work sheds light on the importance of long-term studies for a deeper understanding of human-induced impacts on aquatic insects. We highlight that extended anthropogenic impact monitoring and mitigation actions are pivotal in maintaining freshwater ecosystem integrity

Toward efficient and tailorable mid-infrared emitters utilizing multilayer graphene

This is the final version. Available from the American Institute of Physics via the DOI in this record. Data availability: The data that support the findings of this study are available from the corresponding author upon reasonable requestThere is a continuing need for the development of cost-effective and sustainable mid-infrared light sources for applications such as gas sensing and infrared beacons. A natural replacement for the conventional incandescent sources still widely used in such applications are semiconductor LEDs, but to achieve emission at long wavelengths requires the realization of devices with narrow effective bandgaps, inherently leading to relatively poor internal and external quantum efficiencies. Recently, the technological potential of graphene-based incandescent emitters has been recognized, in part due to the ability of graphene to sustain extremely large current densities. Here we introduce a simple architecture, consisting of a back-reflector behind a multilayer graphene filament, which we use to produce emitters with wall-plug-efficiencies comparable to state-of-the art semiconductor cascade LEDs. Coupled with the potential for high-speed modulation, resulting from the low thermal mass, our results demonstrate the feasibility of creating practicable infrared sources.Engineering and Physical Sciences Research CouncilEngineering and Physical Sciences Research CouncilEngineering and Physical Sciences Research CouncilQinetiQ Ltd

Book Reviews

Book Review 1Book Title: Modern Coloproctology: Surgical Grand Rounds from St Mark's HospitalBook Authors: Robin Phillips & John Northover (Eds.)pp. 195. illustrated. London: Edward Arnold. 1993. ISBN 0-340-55258-1Book Review 2Book Title: Diagnostic Molecular Pathology: A Practical Approach. Vol. I & IIBook Authors: C.S. Herringron & J.O'D. McGee (Eds.)Pp. Vol. I xviii + 270; Vol. II xvi + 217. Cape Town: Oxford University Press. 1992. ISBN Vol. I 0-19-963236-7, Vol. II 0-19-963238-3.Book Review 3Book Title: Training Therapy: Prophylaxis and RehabilitationBook Authors: Rolf Gustavsen & Renate Streeck2nd revised ed. Pp. viii + 230. Illustrated. Stuttgart: George Thieme Verlag. 1993. ISBN 3-13-672502-6.Book Review 4Book Title: Handbook of Bereavement: Theory, Research and InterventionBook Authors: Margaret S. Stroebe, Wolfgang Stroebe & Robert O. Hansson (Eds.)Pp. xii + 546. Cambridge: Cambridge University Press. 1993. ISBN 0-521-39315-9 hardback, ISBN 0-52144853-0 paperback.Book Review 5Book Title: Atlas of Gynecologic PathologyBook Authors: J. Donald Woodruff, Teresita L. Angruaco & Tim H. Pannley (Eds.)pp.321. New York: Raven Press. 1993. ISBN 0-7817-0056-6.Book Review 6Book Title: Our Planet, Our Health: Report of the WHO Commission on Health and EnvironmentBook Author: World Health OrganisationPp. 282. Geneva. 1992. ISBN 92-4-156148-3.Book Review 7Book Title: Neonatal Tetanus Elimination Field Guide. Technical Paper No 35Book Author: Pan American Health OrganisationPp. v +37. Washington: Pan American Health Organisation. 1993. ISBN 92-75-13035-3

Effect of Dietary Components on Larval Life History Characteristics in the Medfly (Ceratitis capitata: Diptera, Tephritidae)

Background: The ability to respond to heterogenous nutritional resources is an important factor in the adaptive radiation of insects such as the highly polyphagous Medfly. Here we examined the breadth of the Medfly’s capacity to respond to different developmental conditions, by experimentally altering diet components as a proxy for host quality and novelty. Methodology/Principal Findings: We tested responses of larval life history to diets containing protein and carbohydrate components found in and outside the natural host range of this species. A 40% reduction in the quantity of protein caused a significant increase in egg to adult mortality by 26.5%±6% in comparison to the standard baseline diet. Proteins and carbohydrates had differential effects on larval versus pupal development and survival. Addition of a novel protein source, casein (i.e. milk protein), to the diet increased larval mortality by 19.4%±3% and also lengthened the duration of larval development by 1.93±0.5 days in comparison to the standard diet. Alteration of dietary carbohydrate, by replacing the baseline starch with simple sugars, increased mortality specifically within the pupal stage (by 28.2%±8% and 26.2%±9% for glucose and maltose diets, respectively). Development in the presence of the novel carbohydrate lactose (milk sugar) was successful, though on this diet there was a decrease of 29.8±1.6 µg in mean pupal weight in comparison to pupae reared on the baseline diet. Conclusions: The results confirm that laboratory reared Medfly retain the ability to survive development through a wide range of fluctuations in the nutritional environment. We highlight new facets of the responses of different stages of holometabolous life histories to key dietary components. The results are relevant to colonisation scenarios and key to the biology of this highly invasive species

A Mathematical Basis for Satisficing Decision Making

This paper presents an analysis of the satisficing decisionmaking process in a simple organization under multiple objectives. The role of aspiration levels or reference objective levels is stressed and a conceptual model of this behavior is presented. A specification or rather modification of the mathematical concept of a value (utility) function that describes the satisficing behavior is given; the modified value function, called the achievement scalarizing function, should not be only order preserving but also order approximating in a certain sense. It is shown that the notions of reference objective levels and achievement scalarizing functions form a mathematical basis not only for satisficing decision making but also for Pareto optimization; this basis is an alternative to or even stronger than the approaches based on weighting coefficients or typical value functions. This mathematical basis, which can also be considered as a generalization of the goal programming approach in multiobjective optimization, results in pragmatic approaches to many problems of multiobjective analysis, including the problem of interactive assessment of solutions to economic models for policy analysis and planning purposes

Identification of Giardia lamblia DHHC Proteins and the Role of Protein S-palmitoylation in the Encystation Process

Protein S-palmitoylation, a hydrophobic post-translational modification, is performed by protein acyltransferases that have a common DHHC Cys-rich domain (DHHC proteins), and provides a regulatory switch for protein membrane association. In this work, we analyzed the presence of DHHC proteins in the protozoa parasite Giardia lamblia and the function of the reversible S-palmitoylation of proteins during parasite differentiation into cyst. Two specific events were observed: encysting cells displayed a larger amount of palmitoylated proteins, and parasites treated with palmitoylation inhibitors produced a reduced number of mature cysts. With bioinformatics tools, we found nine DHHC proteins, potential protein acyltransferases, in the Giardia proteome. These proteins displayed a conserved structure when compared to different organisms and are distributed in different monophyletic clades. Although all Giardia DHHC proteins were found to be present in trophozoites and encysting cells, these proteins showed a different intracellular localization in trophozoites and seemed to be differently involved in the encystation process when they were overexpressed. dhhc transgenic parasites showed a different pattern of cyst wall protein expression and yielded different amounts of mature cysts when they were induced to encyst. Our findings disclosed some important issues regarding the role of DHHC proteins and palmitoylation during Giardia encystation.Fil: Merino, Maria Cecilia. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Instituto de Investigación Médica Mercedes y Martín Ferreyra. Universidad Nacional de Córdoba. Instituto de Investigación Médica Mercedes y Martín Ferreyra; ArgentinaFil: Zamponi, Nahuel. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Instituto de Investigación Médica Mercedes y Martín Ferreyra. Universidad Nacional de Córdoba. Instituto de Investigación Médica Mercedes y Martín Ferreyra; ArgentinaFil: Vranych, Cecilia Verónica. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Instituto de Investigación Médica Mercedes y Martín Ferreyra. Universidad Nacional de Córdoba. Instituto de Investigación Médica Mercedes y Martín Ferreyra; ArgentinaFil: Touz, Maria Carolina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Instituto de Investigación Médica Mercedes y Martín Ferreyra. Universidad Nacional de Córdoba. Instituto de Investigación Médica Mercedes y Martín Ferreyra; ArgentinaFil: Ropolo, Andrea Silvana. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Instituto de Investigación Médica Mercedes y Martín Ferreyra. Universidad Nacional de Córdoba. Instituto de Investigación Médica Mercedes y Martín Ferreyra; Argentin